NPI | 1467824573 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: FL RN 9200170) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL ARNP 9200170) |
Enumeration Date | 2015-10-28 |
Last Update Date | 2015-10-28 |